Anti-NMDA receptor encephalitis: an important differential diagnosis in psychosis
We present four cases of confirmed anti-NMDA receptor encephalitis; three presented initially with serious psychiatric symptoms and the other developed significant psychiatric symptoms during the initial phase of illness. Brain biopsy findings of one patient are also described. Psychiatrists should...
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| Veröffentlicht in: | British journal of psychiatry 2011-12, Vol.199 (6), p.508-509 |
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| container_title | British journal of psychiatry |
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| creator | Barry, Helen Hardiman, Orla Healy, Daniel G. Keogan, Mary Moroney, Joan Molnar, Peter P. Cotter, David R. Murphy, Kieran C. |
| description | We present four cases of confirmed anti-NMDA receptor encephalitis; three presented initially with serious psychiatric symptoms and the other developed significant psychiatric symptoms during the initial phase of illness. Brain biopsy findings of one patient are also described. Psychiatrists should consider anti-NMDA receptor encephalitis in patients presenting with psychosis and additional features of dyskinesias, seizures and catatonia, particularly where there is no previous history of psychiatric disorder. |
| doi_str_mv | 10.1192/bjp.bp.111.092197 |
| format | Article |
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Brain biopsy findings of one patient are also described. Psychiatrists should consider anti-NMDA receptor encephalitis in patients presenting with psychosis and additional features of dyskinesias, seizures and catatonia, particularly where there is no previous history of psychiatric disorder.</description><identifier>ISSN: 0007-1250</identifier><identifier>EISSN: 1472-1465</identifier><identifier>DOI: 10.1192/bjp.bp.111.092197</identifier><identifier>PMID: 21984802</identifier><identifier>CODEN: BJPYAJ</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adult ; Antagonist drugs ; Anti-N-Methyl-D-Aspartate Receptor Encephalitis - diagnosis ; Anti-N-Methyl-D-Aspartate Receptor Encephalitis - psychology ; Anti-N-Methyl-D-Aspartate Receptor Encephalitis - therapy ; Antipsychotic Agents - therapeutic use ; Autoantibodies - blood ; Biopsy ; Brain ; Brain - pathology ; Catatonia ; Convulsions & seizures ; Delusions - complications ; Diagnosis, Differential ; Differential diagnosis ; Electroencephalography ; Encephalitis ; Female ; Glutamic acid receptors (ionotropic) ; Humans ; Immunoglobulins ; Immunoglobulins, Intravenous - therapeutic use ; Immunosuppressive Agents - administration & dosage ; Immunosuppressive Agents - therapeutic use ; Immunotherapy - methods ; Lymphocytes ; Lymphocytosis - cerebrospinal fluid ; Medical diagnosis ; Mycophenolic Acid - administration & dosage ; Mycophenolic Acid - analogs & derivatives ; Mycophenolic Acid - therapeutic use ; N-Methyl-D-aspartic acid receptors ; Ovarian Cysts - complications ; Ovarian Cysts - diagnostic imaging ; Ovarian Cysts - surgery ; Plasmapheresis ; Psychiatric disorders ; Psychiatric symptoms ; Psychiatrists ; Psychiatry ; Psychoses ; Psychosis ; Psychotic Disorders - diagnosis ; Psychotic Disorders - drug therapy ; Psychotic Disorders - immunology ; Psychotropic drugs ; Receptors, N-Methyl-D-Aspartate - immunology ; Recovery of Function ; Recurrence ; Seizures ; Seizures - complications ; Seizures - diagnosis ; Short report ; Steroids ; Steroids - therapeutic use ; Symptoms ; Ultrasonography ; Young Adult</subject><ispartof>British journal of psychiatry, 2011-12, Vol.199 (6), p.508-509</ispartof><rights>Copyright © Royal College of Psychiatrists, 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c545t-243e22a2e87e41c90c6e670dc889a2918229dca9bf353c651417bbeb73061ee33</citedby><cites>FETCH-LOGICAL-c545t-243e22a2e87e41c90c6e670dc889a2918229dca9bf353c651417bbeb73061ee33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0007125000256870/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,777,781,12827,27905,27906,30980,30981,55609</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21984802$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barry, Helen</creatorcontrib><creatorcontrib>Hardiman, Orla</creatorcontrib><creatorcontrib>Healy, Daniel G.</creatorcontrib><creatorcontrib>Keogan, Mary</creatorcontrib><creatorcontrib>Moroney, Joan</creatorcontrib><creatorcontrib>Molnar, Peter P.</creatorcontrib><creatorcontrib>Cotter, David R.</creatorcontrib><creatorcontrib>Murphy, Kieran C.</creatorcontrib><title>Anti-NMDA receptor encephalitis: an important differential diagnosis in psychosis</title><title>British journal of psychiatry</title><addtitle>Br J Psychiatry</addtitle><description>We present four cases of confirmed anti-NMDA receptor encephalitis; three presented initially with serious psychiatric symptoms and the other developed significant psychiatric symptoms during the initial phase of illness. Brain biopsy findings of one patient are also described. Psychiatrists should consider anti-NMDA receptor encephalitis in patients presenting with psychosis and additional features of dyskinesias, seizures and catatonia, particularly where there is no previous history of psychiatric disorder.</description><subject>Adult</subject><subject>Antagonist drugs</subject><subject>Anti-N-Methyl-D-Aspartate Receptor Encephalitis - diagnosis</subject><subject>Anti-N-Methyl-D-Aspartate Receptor Encephalitis - psychology</subject><subject>Anti-N-Methyl-D-Aspartate Receptor Encephalitis - therapy</subject><subject>Antipsychotic Agents - therapeutic use</subject><subject>Autoantibodies - blood</subject><subject>Biopsy</subject><subject>Brain</subject><subject>Brain - pathology</subject><subject>Catatonia</subject><subject>Convulsions & seizures</subject><subject>Delusions - complications</subject><subject>Diagnosis, Differential</subject><subject>Differential diagnosis</subject><subject>Electroencephalography</subject><subject>Encephalitis</subject><subject>Female</subject><subject>Glutamic acid receptors (ionotropic)</subject><subject>Humans</subject><subject>Immunoglobulins</subject><subject>Immunoglobulins, Intravenous - therapeutic use</subject><subject>Immunosuppressive Agents - administration & dosage</subject><subject>Immunosuppressive Agents - therapeutic use</subject><subject>Immunotherapy - methods</subject><subject>Lymphocytes</subject><subject>Lymphocytosis - cerebrospinal fluid</subject><subject>Medical diagnosis</subject><subject>Mycophenolic Acid - administration & dosage</subject><subject>Mycophenolic Acid - analogs & derivatives</subject><subject>Mycophenolic Acid - therapeutic use</subject><subject>N-Methyl-D-aspartic acid receptors</subject><subject>Ovarian Cysts - complications</subject><subject>Ovarian Cysts - diagnostic imaging</subject><subject>Ovarian Cysts - surgery</subject><subject>Plasmapheresis</subject><subject>Psychiatric disorders</subject><subject>Psychiatric symptoms</subject><subject>Psychiatrists</subject><subject>Psychiatry</subject><subject>Psychoses</subject><subject>Psychosis</subject><subject>Psychotic Disorders - diagnosis</subject><subject>Psychotic Disorders - drug therapy</subject><subject>Psychotic Disorders - immunology</subject><subject>Psychotropic drugs</subject><subject>Receptors, N-Methyl-D-Aspartate - immunology</subject><subject>Recovery of Function</subject><subject>Recurrence</subject><subject>Seizures</subject><subject>Seizures - complications</subject><subject>Seizures - diagnosis</subject><subject>Short report</subject><subject>Steroids</subject><subject>Steroids - therapeutic use</subject><subject>Symptoms</subject><subject>Ultrasonography</subject><subject>Young Adult</subject><issn>0007-1250</issn><issn>1472-1465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkUuLFDEUhYMoTjv6A9xIgQtX1ebeJJWKu2Z8wqgIug5J6tZMmnqZVC_m35umWwVBZpVz4DsnCYex58C3AAZf-_2y9UvRsOUGwegHbANSYw2yUQ_ZhnOua0DFL9iTnPfFCon6MbsobCtbjhv2bTetsf7y-e2uShRoWedU0VTErRviGvObyk1VHJc5rW5aqy72PSUqGTcU426mOcdcxala8l24PZqn7FHvhkzPzucl-_H-3ferj_X11w-frnbXdVBSrTVKQYgOqdUkIRgeGmo070LbGocGWkTTBWd8L5QIjQIJ2nvyWvAGiIS4ZK9OvUuafx4or3aMOdAwuInmQ7YGlZa8afT9JCjZSiXN_SRvOQejsJAv_yH38yFN5cMWBaiGK4nHN8KJCmnOOVFvlxRHl-4scHuc0JYJrV-KBnuasGRenJsPfqTuT-L3ZgUQ51I3-hS7G_p79_9rfwE5A6c7</recordid><startdate>20111201</startdate><enddate>20111201</enddate><creator>Barry, Helen</creator><creator>Hardiman, Orla</creator><creator>Healy, Daniel G.</creator><creator>Keogan, Mary</creator><creator>Moroney, Joan</creator><creator>Molnar, Peter P.</creator><creator>Cotter, David R.</creator><creator>Murphy, Kieran C.</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7TK</scope><scope>7XB</scope><scope>88G</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20111201</creationdate><title>Anti-NMDA receptor encephalitis: an important differential diagnosis in psychosis</title><author>Barry, Helen ; Hardiman, Orla ; Healy, Daniel G. ; Keogan, Mary ; Moroney, Joan ; Molnar, Peter P. ; Cotter, David R. ; Murphy, Kieran C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c545t-243e22a2e87e41c90c6e670dc889a2918229dca9bf353c651417bbeb73061ee33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Antagonist drugs</topic><topic>Anti-N-Methyl-D-Aspartate Receptor Encephalitis - diagnosis</topic><topic>Anti-N-Methyl-D-Aspartate Receptor Encephalitis - psychology</topic><topic>Anti-N-Methyl-D-Aspartate Receptor Encephalitis - therapy</topic><topic>Antipsychotic Agents - therapeutic use</topic><topic>Autoantibodies - blood</topic><topic>Biopsy</topic><topic>Brain</topic><topic>Brain - pathology</topic><topic>Catatonia</topic><topic>Convulsions & seizures</topic><topic>Delusions - complications</topic><topic>Diagnosis, Differential</topic><topic>Differential diagnosis</topic><topic>Electroencephalography</topic><topic>Encephalitis</topic><topic>Female</topic><topic>Glutamic acid receptors (ionotropic)</topic><topic>Humans</topic><topic>Immunoglobulins</topic><topic>Immunoglobulins, Intravenous - therapeutic use</topic><topic>Immunosuppressive Agents - administration & dosage</topic><topic>Immunosuppressive Agents - therapeutic use</topic><topic>Immunotherapy - methods</topic><topic>Lymphocytes</topic><topic>Lymphocytosis - cerebrospinal fluid</topic><topic>Medical diagnosis</topic><topic>Mycophenolic Acid - administration & dosage</topic><topic>Mycophenolic Acid - analogs & derivatives</topic><topic>Mycophenolic Acid - therapeutic use</topic><topic>N-Methyl-D-aspartic acid receptors</topic><topic>Ovarian Cysts - complications</topic><topic>Ovarian Cysts - diagnostic imaging</topic><topic>Ovarian Cysts - surgery</topic><topic>Plasmapheresis</topic><topic>Psychiatric disorders</topic><topic>Psychiatric symptoms</topic><topic>Psychiatrists</topic><topic>Psychiatry</topic><topic>Psychoses</topic><topic>Psychosis</topic><topic>Psychotic Disorders - diagnosis</topic><topic>Psychotic Disorders - drug therapy</topic><topic>Psychotic Disorders - immunology</topic><topic>Psychotropic drugs</topic><topic>Receptors, N-Methyl-D-Aspartate - immunology</topic><topic>Recovery of Function</topic><topic>Recurrence</topic><topic>Seizures</topic><topic>Seizures - complications</topic><topic>Seizures - diagnosis</topic><topic>Short report</topic><topic>Steroids</topic><topic>Steroids - therapeutic use</topic><topic>Symptoms</topic><topic>Ultrasonography</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barry, Helen</creatorcontrib><creatorcontrib>Hardiman, Orla</creatorcontrib><creatorcontrib>Healy, Daniel G.</creatorcontrib><creatorcontrib>Keogan, Mary</creatorcontrib><creatorcontrib>Moroney, Joan</creatorcontrib><creatorcontrib>Molnar, Peter P.</creatorcontrib><creatorcontrib>Cotter, David R.</creatorcontrib><creatorcontrib>Murphy, Kieran C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barry, Helen</au><au>Hardiman, Orla</au><au>Healy, Daniel G.</au><au>Keogan, Mary</au><au>Moroney, Joan</au><au>Molnar, Peter P.</au><au>Cotter, David R.</au><au>Murphy, Kieran C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anti-NMDA receptor encephalitis: an important differential diagnosis in psychosis</atitle><jtitle>British journal of psychiatry</jtitle><addtitle>Br J Psychiatry</addtitle><date>2011-12-01</date><risdate>2011</risdate><volume>199</volume><issue>6</issue><spage>508</spage><epage>509</epage><pages>508-509</pages><issn>0007-1250</issn><eissn>1472-1465</eissn><coden>BJPYAJ</coden><abstract>We present four cases of confirmed anti-NMDA receptor encephalitis; three presented initially with serious psychiatric symptoms and the other developed significant psychiatric symptoms during the initial phase of illness. Brain biopsy findings of one patient are also described. Psychiatrists should consider anti-NMDA receptor encephalitis in patients presenting with psychosis and additional features of dyskinesias, seizures and catatonia, particularly where there is no previous history of psychiatric disorder.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>21984802</pmid><doi>10.1192/bjp.bp.111.092197</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | British journal of psychiatry, 2011-12, Vol.199 (6), p.508-509 |
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| subjects | Adult Antagonist drugs Anti-N-Methyl-D-Aspartate Receptor Encephalitis - diagnosis Anti-N-Methyl-D-Aspartate Receptor Encephalitis - psychology Anti-N-Methyl-D-Aspartate Receptor Encephalitis - therapy Antipsychotic Agents - therapeutic use Autoantibodies - blood Biopsy Brain Brain - pathology Catatonia Convulsions & seizures Delusions - complications Diagnosis, Differential Differential diagnosis Electroencephalography Encephalitis Female Glutamic acid receptors (ionotropic) Humans Immunoglobulins Immunoglobulins, Intravenous - therapeutic use Immunosuppressive Agents - administration & dosage Immunosuppressive Agents - therapeutic use Immunotherapy - methods Lymphocytes Lymphocytosis - cerebrospinal fluid Medical diagnosis Mycophenolic Acid - administration & dosage Mycophenolic Acid - analogs & derivatives Mycophenolic Acid - therapeutic use N-Methyl-D-aspartic acid receptors Ovarian Cysts - complications Ovarian Cysts - diagnostic imaging Ovarian Cysts - surgery Plasmapheresis Psychiatric disorders Psychiatric symptoms Psychiatrists Psychiatry Psychoses Psychosis Psychotic Disorders - diagnosis Psychotic Disorders - drug therapy Psychotic Disorders - immunology Psychotropic drugs Receptors, N-Methyl-D-Aspartate - immunology Recovery of Function Recurrence Seizures Seizures - complications Seizures - diagnosis Short report Steroids Steroids - therapeutic use Symptoms Ultrasonography Young Adult |
| title | Anti-NMDA receptor encephalitis: an important differential diagnosis in psychosis |
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